Mexico health reform success turns on implementation

2019 ◽  
Keyword(s):  
Federal Government ◽  
Health Reform ◽  
Health Sector ◽  
State Level ◽  
Medical Attention ◽  
Health Plans ◽  
Content Type ◽  
Implementation Challenges ◽  
The Public

Subject Health plans. Significance President Andres Manuel Lopez Obrador (AMLO) on December 14 announced changes to the public health sector to expand coverage, improve quality of care and guarantee access to free medicines. His plans will see the federal government assume responsibilities previously the remit of state-level authorities. Impacts The overhaul will take place as key institutions in the sector are decentralised, compounding implementation challenges. Without greater investment in prevention in addition to medical attention, improvements in the population’s health will be limited. Centralisation of decision-making and resource allocation will improve monitoring and accountability but not necessarily stop corruption.

Nigeria finance bill will modestly increase revenue

2022 ◽  
Keyword(s):  
Economic Growth ◽  
Public Sector ◽  
Federal Government ◽  
State Level ◽  
Consumer Spending ◽  
Institutional Reforms ◽  
Content Type ◽  
Limited Impact ◽  
The Public ◽  
Consumption Taxes

Significance The bill aims to expand the accruable revenue for the federal government, crucial for meeting the government’s 2022 fiscal targets. In particular it looks to close existing tax loopholes rather than raising consumption taxes which could inhibit economic growth. Impacts Increased taxes will only have a limited impact on consumer spending and inflation. The bill will not appreciably increase state-level revenues. Broader institutional reforms in the public sector are unlikely due to powerful patronage networks.

ISO 9001 and the public service: an investigation of the effect of the QMS on the quality of public service organizations

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jorge Armando López-Lemus
Keyword(s):  
Public Sector ◽  
Service Quality ◽  
Public Service ◽  
Public Services ◽  
The State ◽  
Iso 9001 ◽  
Knowledge Generation ◽  
Content Type ◽  
The Public

Purpose The purpose of this paper is to identify the influence exerted by a quality management system (QMS) under ISO 9001: 2015 on the quality of public services organizations in Mexico. Design/methodology/approach The methodological design was quantitative, explanatory, observational and transversal, for which a sample of 461 public servants from the state of Guanajuato, Mexico was obtained. To test the hypotheses, a structural equation model (SEM) was developed through the statistical software Amos v.21. For the analysis of the data, software SPSS v.21 was used. Regarding the goodness and adjustment indices of the SEM (χ2 = 720.09, df = 320, CFI = 0.933, TLI = 0.926 and RMSEA = 0.05) which, therefore, proved to be acceptable. Findings According to the results obtained through the SEM model, the QMS under ISO 9001: 2015 is positively and significantly influenced tangible aspects (β1 = 0.79, p < 0.01), reliability (β2 = 0.90, p < 0.01), related to response quality (β3 = 0.93, p < 0.01), guarantees (β4 = 0.91, p < 0.01) and empathy (β5 = 0.88, p < 0.01) of the quality related to public services in Mexico. The study’s key contribution is that it discovered that implementing a QMS in accordance with the ISO 9001: 2015 standard has an impact on the quality of public services, with the most influential quality of response. Similarly, the assurance and dependability of service quality turned out to be important in providing public service quality. Research limitations/implications In this paper, the QMS was only evaluated as a variable that intervenes in the process of obtaining quality in public service under the ISO 9001 standard in its 2015 version. In this regard, the results’ trustworthiness is limited to the extent that the findings may be generalized in the state of Guanajuato, Mexico’s public service. As a result, the scientific community is left primarily focused on service quality to promote new future research. Practical implications The ISO 9001: 2015 standard’s QMS is one of the tools for success in both the commercial and government sectors. However, there are practical limitations, which focus on the time during which managers exercise their vision in the public sector: first, the dynamics that managers play in public policy; second, the length of time they have served in public office; and third, the interest of directors of public institutions to improve the quality of service provided by the government. Other practical consequences concern organizational culture and identity, public servant commitment, senior management or secretaries of government, as well as work and training. Originality/value The findings of this paper are important and valuable because they foster knowledge generation in the public sector through the ISO 9000 quality area. A model that permits the adoption and implementation of a QMS based on the ISO 9001: 2015 standard in public organizations that seek to provide quality in their services offered to the user is also presented to the literature. Similarly, the paper is important because there is currently insufficient research focusing on the variables examined in the context of public service in Mexico.

Is auditing the new evaluation? Can it be? Should it be?

2018 ◽  
Vol 31 (6) ◽  
pp. 726-739 ◽  
Author(s):  
Jon Pierre ◽  
B. Guy Peters ◽  
Jenny de Fine Licht
Keyword(s):  
Comparative Research ◽  
Qualitative Method ◽  
Time Perspective ◽  
Extensive Literature ◽  
Public Programs ◽  
Content Type ◽  
The Public ◽  
The Past ◽  
Practical Implications

Purpose The purpose of this paper is to study the changing relationship between auditing and evaluation. Over the past several years, supreme auditing institutions (SAIs) in a number of advanced democracies have evolved from conventional auditing institutions to becoming increasingly concerned with assisting policy change and administrative reform in the public sector; tasks that are traditionally associated with evaluation. The paper discusses the potential consequences of this development for the SAIs themselves as well as for the audited and reforming institutions and for policy-making. Design/methodology/approach The paper uses qualitative method and draws on the extensive literature on auditing and evaluation. The analysis has also benefitted from the authors’ recent comparative research on SAIs. Findings The findings, summarized in six points, are that the growth of auditing in areas previously assigned to evaluators, has led to a shortened time perspective; stronger emphasis on the administration of policies; increased focus on efficiency of the audited entity; greater independence from the evaluated organizations; a shift in receiver of information toward the legislature and/or the public; and improved communication. Practical implications Evaluation as a professional and scholarly field has developed theories and advanced methods to assess the effectiveness of public programs. The growth of auditing may thus change the focus and quality of policy evaluation. Originality/value The paper speaks to both scholars and practitioners. To the best of the knowledge a similar analysis has not been done before.

The impact of leadership churn on quality management in Australian hospitals

2019 ◽  
Vol 33 (7/8) ◽  
pp. 809-820
Author(s):  
Sandra Leggat ◽  
Cathy Balding
Keyword(s):  
Quality Of Care ◽  
Quality Management ◽  
Quality Indicators ◽  
Health Sector ◽  
Quality System ◽  
Board Members ◽  
Governing Board ◽  
Content Type ◽  
The Impact

Purpose The purpose of this paper is to explore the relationship between frequent turnover (churn) of the chief executive officer (CEO), quality manager and members of the governing board with the management of quality in eight Australian hospitals. Design/methodology/approach A mixed method three-year longitudinal study was conducted using validated quality system scales, quality indicators and focus groups involving over 800 board members, managers and clinical staff. Findings There were unexpected high levels of both governance and management churn over the three years. Churn among CEOs and quality managers was negatively associated with compliance in aspects of the quality system used to plan, monitor and improve quality of care. There was no relationship with the quality of care indicators. Staff identified lack of vision and changing priorities with high levels of churn, which they described as confusing and demotivating. There was no relationship with quality processes or quality indicators detected for churn among governing board members. Practical implications Governing boards must recognise the risks associated with management change and minimise these risks with robust clinical governance processes. Originality/value This research is the first that we are aware of that identifies the impact of frequent leadership turnover in the health sector on quality management.

scholarly journals Analysis of professional perceptions relating to the effectiveness of codes of ethics for journalists in Spain

2020 ◽  
Vol 18 (4) ◽  
pp. 511-528
Author(s):  
Marcel Mauri-Ríos ◽  
Silvia Marcos-García ◽  
Aitor Zuberogoitia-Espilla
Keyword(s):  
Self Regulation ◽  
Codes Of Ethics ◽  
Content Type ◽  
The Public ◽  
Ethical Codes ◽  
Determining Factors ◽  
The Media ◽  
Right To Information ◽  
Key Aspects

Purpose Codes of ethics are important instruments in journalism, as they promote transparency and self-regulation of media, in addition to monitoring the quality of information. The purpose of this paper is to analyse the perceptions that Spanish journalists have of the effectiveness of codes of ethics and to evaluate the different personal and professional variables which condition this vision. Design/methodology/approach The methodology used in the present study is based on quantitative content analysis using the survey technique. This technique makes it possible to obtain empirical data on various key aspects of the profession that are determining factors in ascertaining Spanish journalists’ views of one of the instruments of accountability that is external to the media: general ethical codes. Findings The results show that Spanish journalists are largely confident in the effectiveness of ethical codes in their profession. Likewise, it was seen that variables such as age, professional experience or the media with which they work influence the perceptions that professionals have of such instruments. Originality/value If understanding journalism as a profession whose mission is to guarantee the citizens their right to information, then it is essential to be familiar with the tools provided by the profession itself to be accountable to the public regarding this professional mission. Hence the importance of instruments of accountability and the perceptions of the professionals themselves regarding their effectiveness.

Nigeria state polls raise hopes for governance reform

2015 ◽  
Keyword(s):  
Federal Government ◽  
Democratic Party ◽  
Central Planning ◽  
Dynamic State ◽  
State Governments ◽  
Governance Reform ◽  
The South ◽  
Content Type ◽  
National Budget

Subject Gubernatorial polls and the devolution outlook. Significance The All Progressives Congress (APC) won 20 out of the 29 states that held elections for governorships and assemblies on April 11. While the majority of the remaining seven states had been won by the People's Democratic Party (PDP) in by-elections last year, the APC has broadly repeated its victory in the presidential polls. Over the next four years, incoming state administrations will be spending nearly half of the national budget to develop services and infrastructure under a new federal government that has promised greater devolution of powers. Impacts The PDP will have to re-grow its party from a much-reduced regional powerbase in the south-south and south-east of the country. Problematic elections in PDP states may sow the seeds for continued localised instability and security problems. Longer term, more dynamic state governments may spearhead a more localised infrastructure boom not as reliant on central planning. Whether the APC can meet the high bar set by Lagos elsewhere will depend on the quality of its candidates locally.

Health reform seeks broad improvements in Chile

2019 ◽  
Keyword(s):  
Public Health ◽  
Health Reform ◽  
Content Type ◽  
The Public ◽  
Public Health Systems ◽  
Sick People ◽  
Large Numbers ◽  
Private And Public ◽  
Improve Access

Subject Health reform in Chile. Significance On April 22, President Sebastian Pinera announced two initiatives to reform Chile’s private and public health systems. The first would end years of discrimination and spiralling costs for affiliates of private health insurers, known as ISAPREs. The second aims to improve access and coverage for users of the national health service by strengthening the role of FONASA, the institution which finances the public health system. Impacts Greater competition may deepen the controversial concern that ISAPREs “cannot afford to incorporate sick people”. Fiscal revenues will fall if affiliates leave FONASA in large numbers, as expected. The delay for new ISAPRE members to access all benefits has been called discriminatory and will be a focus of debate in Congress.

Projectification in the public sector – the case of the European Union

2015 ◽  
Vol 8 (2) ◽  
pp. 324-348 ◽  
Author(s):  
Sebastian Godenhjelm ◽  
Rolf A. Lundin ◽  
Stefan Sjöblom
Keyword(s):  
European Union ◽  
Public Sector ◽  
Meta Analysis ◽  
The European Union ◽  
Management Skills ◽  
Content Type ◽  
The Public ◽  
Public Context ◽  
Transfer Mechanisms

Purpose – The purpose of this paper is to establish an understanding of what projectification means, how projectification is driven forward, as well as what the consequences of projectification are in an European Union (EU) context, and in the public sector in general. Design/methodology/approach – The research methods consist of a literature review as well as a meta-analysis of key EU policy documents related to the functioning of regional development and projects. The paper shows that structural developments brought forth by a projectification in a public sector context have significant consequences. Findings – Without contextually sensitive interlinking mechanisms between temporary and permanent structures projects risk losing their flexible and innovative qualities, and may fragment the ability of permanent organisations for maintaining coordination and continuity. The findings suggests that the proximity of permanent organisations, the discretion of entrepreneurship, the political priority of the task, the inclusion of competencies and interests, and the quality of transfer mechanisms are essential variables in explaining the outcome of temporary organisations in a politico-administrative context. Research limitations/implications – The paper contributes to the literature on projects in a public sector context and suggests that comparative research on the drivers and consequences of public sector projectification in supranational as well as national contexts is needed. Practical implications – The increasing requirements for applied project management skills and methods as criteria for project selection in the public sector highlight the importance of a broader theoretical and practical understanding of projectification. Originality/value – The paper adds a new dimension to the projectification debate by presenting a descriptive and conceptual discussion about the consequences of public sector projectification in an EU context. It complements an existing theory of the temporary organisation and takes the first steps towards a theory applicable to projectification in a public context.

Total quality management (TQM) movement in public health

2015 ◽  
Vol 33 (1) ◽  
pp. 25-41 ◽  
Author(s):  
Jeffrey E. Jarrett
Keyword(s):  
Public Health ◽  
Quality Control ◽  
Quality Management ◽  
Health Services ◽  
Multivariate Methods ◽  
Total Quality ◽  
Public Health Services ◽  
Content Type ◽  
The Public

Purpose – The purpose of this paper is to suggest better methods for monitoring the diagnostic and treatment services for providers of public health and the management of public health services. In particular, the authors examine the construction and use of industrial quality control methods as applied to the public providers, in both the prevention and cure for infectious diseases and the quality of public health care providers in such applications including water quality standards, sewage many others. The authors suggest implementing modern multivariate applications of quality control techniques and/or better methods for univariate quality control common in industrial applications in the public health sector to both control and continuously improve public health services. These methods entitled total quality management (TQM) form the foundation to improve these public services. Design/methodology/approach – The study is designed to indicate the great need for TQM analysis to utilize methods of statistical quality control. All this is done to improve public health services through implementation of quality control and improvement methods as part of the TQM program. Examples of its use indicate that multivariate methods may be the best but other methods are suggested as well. Findings – Multivariate methods provide the best solutions when quality and reliability tests show indications that the variables observed are inter-correlated and correlated over time. Simpler methods are available when the above factors are not present. Research limitations/implications – Multivariate methods will provide for better interpretation of results, better decisions and smaller risks of both Type I and Type II errors. Smaller risks lead to better decision making and may reduce costs. Practical implications – Analysts will improve such things as the control of water quality and all aspects of public health when data are collected through experimentation and/or periodic quality management techniques. Social implications – Public health will be better monitored and the quality of life will improve for all especially in places where public development is undertaking rapid changes. Originality/value – The manuscript is original because it uses well known and scientific methods of analyzing data in area where data collection is utilized to improve public health.

A critical analysis of the anti-corruption policy of the federal executive council of Nigeria

2019 ◽  
Vol 22 (2) ◽  
pp. 176-187 ◽  
Author(s):  
Ehi Eric Esoimeme
Keyword(s):  
Criminal Justice ◽  
Federal Government ◽  
Public Interest ◽  
Critical Analysis ◽  
Task Force ◽  
Executive Council ◽  
Plea Bargain ◽  
Content Type ◽  
The Public ◽  
Financial Action Task

Purpose This paper aims to examine the anti-corruption policy of the Federal Executive Council of Nigeria, to determine whether the policy is working and/or has produced unintended effects. The Federal Executive Council is the body comprising all the Ministers of the Federation, including the President and Vice President. Design/methodology/approach The analysis took the form of a desk study, which analysed various documents and reports such as the Transparency International Corruption Perceptions Index, 2008-2016, the Constitution of the Federal Republic of Nigeria, 1999 (as amended), the Economic and Financial Crimes Commission (Establishment) Act, 2004, the Administration of Criminal Justice Act, 2015, the UK’s Investigatory Powers Act, 2016, the Public Interest Disclosure and Witness Protection Bill, 2017 and the Financial Action Task Force Recommendations, 2012. Findings This paper determined that the anti-corruption policy of the Federal Executive Council of Nigeria could achieve its desired objectives if the following recommendations are implemented: research grants which are sent to Nigerian universities by international and corporate bodies should be exempted from the current treasury single account arrangement. This would enable universities to easily access the funds and disburse the same to qualified students. The Federal Government should follow the guidelines laid down in Section 270 of the Administration of Criminal Justice Act, 2015 for plea agreements. In other words, the prosecution should only offer a plea bargain to a person who has been charged with an offence. The prosecution should not receive and consider a plea bargain from a person who has not been charged with an offence. Any attempt to water down the effect of Section 270 of the Administration of Criminal Justice Act, 2015 may weaken the ongoing fight against corruption and money laundering because criminals will be encouraged to continue looting public funds. The Financial Action Task Force Recommendations (Recommendation 3) requires that criminal sanctions for natural persons convicted of money laundering should be effective, proportionate and dissuasive. The Federal Government of Nigeria should introduce a Bill to the National Assembly that would provide a clear framework for the use of investigatory powers by law enforcement, the security and intelligence agencies and other public authorities. This includes the interception of communications, the retention and acquisition of communications data, the use of equipment interference and the retention and use of bulk data by the security and intelligence agencies. The Bill must establish a number of safeguards against the arbitrary or unlawful use of investigatory powers by the executive. The UK’s Investigatory Powers Act, 2016, for example, established a number of safeguards for the retention and acquisition of communications data. Authorisations for obtaining communications data will have to set out why accessing the communications data in question is necessary in a specific investigation for a particular statutory purpose and how it is proportionate to what is sought to be achieved. A police officer who receives information from a whistleblower about money hidden in an apartment should apply to a Court or Justice of the Peace within the local limits of whose jurisdiction he/she is for the issue of a search warrant before conducting a search on the said premises. This procedure is in line with Section 143 of the Administration of Criminal Justice Act, 2015 and the Court of Appeal decision in Hassan v. E.F.C.C. (2014) I NWLR (Pt. 1389) 607 at 625. The Public Interest Disclosure and Witness Protection Bill, 2017 should be given accelerated consideration in the House of Representatives based on its urgency and significance for the Federal Executive Council’s whistleblowers policy. Research limitations/implications This paper focusses on the anti-corruption policy of the Federal Executive Council of Nigeria from 29 May 2015 to 10 June 2017. It does not address the older policies. Originality/value This paper offers a critical analysis of the new anti-corruption policy of the Federal Executive Council of Nigeria. The paper will provide recommendations on how the policy could be strengthened. This is the only paper to adopt this kind of approach.

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